Organization
LITTLE ROCK RESPIRATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY OWEN JOHNSON (OWNER)
(501) 658-9491
Entity
Organization
Contact information
Practice address
15001 CHICOPEE TRL, LITTLE ROCK, AR 72210-3232
(501) 838-6921
Mailing address
15001 CHICOPEE TRL, LITTLE ROCK, AR 72210-3232
(501) 838-6921
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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